Viroj Wiwanitkit1,2,3,4. 1. Department of Tropical Medicine, Hainan Medical University, China. 2. Department of Medical Science, Faculty of Medicine, University of Nis, Nis, Serbia. 3. Public Health Currciulm, Graduate Program of Public Health, Surin Rajabhat University, Surin, Thailand. 4. Department of Laboratory Mediocine, Chulalongkorn University, Bangkok, Thailand.
Sir,Dengue is a problematic infectious disease which can be seen worldwide. Acute febrile illness accompanying with bleeding tendency is the main clinical picture of dengue.[12] However, dengue can have other clinical features including to neurological deterioration. Due to the bleeding tendency in dengue, intracranial bleeding is rate but important complication of dengue. There are limited reports on the nature of this dengue complication. Here, the author tried to summarize previous report on this problem and this to answer the question on what the most common site of intracranial hemorrhage due to dengue is. Based on available data on 19 cases from 15 publications, the site of bleedings includes cerebellum (one case),[3] pons (two cases),[45] pituitary (two cases),[67] subdural space (three cases),[8910] cerebrum (five cases),[45111213] and subarachnoid space (six cases).[14151617] Based on this small data, subarachnoid is the most common site of hemorrhage following by cerebrum.
Authors: Luiz José de Souza; André Luiz de Oliveira Martins; Paulo César Leitão Paravidini; Rita Maria Ribeiro Nogueira; Carlos Gicovate Neto; Diogo Assed Bastos; Edno Wallace da Silva Siqueira; Rodrigo da Costa Carneiro Journal: Braz J Infect Dis Date: 2005-10-03 Impact factor: 1.949